Kj. Usher et D. Arthur, PROCESS CONSENT - A MODEL FOR ENHANCING INFORMED CONSENT IN MENTAL-HEALTH NURSING, Journal of advanced nursing, 27(4), 1998, pp. 692-697
Informed consent, essentially a legal doctrine, is designed to protect
the rights of patients. However, in an area of practice such as psych
iatry, informed consent imposes many problems if one considers it to b
e a static process. In this paper we propose that process consent, the
type of consent considered essential in qualitative research projects
, is not only appropriate but necessary for mental health nursing prac
tice. This type of consent is an ongoing consensual process that invol
ves the nurse and patient in mutual decision making and ensures that t
he patient is kept informed at all stages of the treatment process, We
have used neuroleptic medications as an example throughout the paper
and have suggested that seeking informed consent should be added to th
e role of the nurse in the mental health setting.